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J Appl Physiol 89: 2123-2129, 2000;
8750-7587/00 $5.00
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Vol. 89, Issue 6, 2123-2129, December 2000

Structure of the primordial diaphragm and defects associated with nitrofen-induced CDH

John J. Greer1, David Cote2, Douglas W. Allan1, Wei Zhang1, Randal P. Babiuk1, Linh Ly1, Robert P. Lemke3, and Keith Bagnall2

Departments of 1 Physiology, 2 Anatomy, and 3 Pediatrics, University of Alberta, Edmonton, Alberta, Canada T6G 2S2

The goals of this study were to further our understanding of diaphragm embryogenesis and the pathogenesis of congenital diaphragmatic hernia (CDH). Past work suggests that the pleuroperitoneal fold (PPF) is the primary source of diaphragmatic musculature. Furthermore, defects associated with an animal model of CDH can be traced back to the formation of the PPF. This study was designed to elucidate the anatomic structure of the PPF and to determine which regions of the PPF malform in the well-established nitrofen model of CDH. This was achieved by producing three-dimensional renderings constructed from serial transverse sections of control and nitrofen-exposed rats at embryonic day 13.5. Renderings of left- and right-sided defects demonstrated that the malformations were always limited to the dorsolateral portions of the caudal regions of the PPF. These data provide an explanation of why the holes in diaphragmatic musculature associated with CDH are characteristically located in dorsolateral regions. Moreover, these data provide further evidence against the widely stated hypothesis that a failure of pleuroperitoneal canal closure underlies the pathogenesis of nitrofen-induced CDH.

embryology; myogenesis; lung hypoplasia; pleuroperitoneal fold; congenital diaphragmatic hernia


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